Pulmonary hypertension: the role of the electrocardiogram.

Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation
Ivo R HenkensHubert W Vliegen

Abstract

A 54-year-old female was referred to our centre for further evaluation of recently established severe pulmonary hypertension. Six months prior to presentation to the cardiologist of the referring centre, the patient had first experienced exertional dyspnoea. At the time of presentation to the referring cardiologist, the patient's ECG showed signs of an increased right heart load. Interestingly, this patient had undergone a thorough cardiac evaluation in the referring centre seven years before when she presented with severe hyperthyroidism. At that time there were no symptoms or signs of pulmonary hypertension on ECG, echocardiography, or at heart catheterisation. Thorough evaluation in cooperation with the referring centre demonstrated that this patient was suffering from idiopathic pulmonary arterial hypertension, a rare form of pulmonary hypertension. We conclude this report with a discussion on the potential use of the ECG for the diagnosis of increased right heart load. (Neth Heart J 2008;16:250-4.).

References

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Jul 14, 2004·Chest·David B BadeschUNKNOWN American College of Chest Physicians
Feb 4, 2006·American Journal of Respiratory and Critical Care Medicine·Marc HumbertGérald Simonneau
Apr 25, 2006·Journal of the American College of Cardiology·Sebastiaan HolverdaAnton Vonk-Noordegraaf
Mar 16, 2007·The European Respiratory Journal·A J PeacockS Stewart
May 15, 2007·American Journal of Physiology. Heart and Circulatory Physiology·Ivo R HenkensAnton Vonk-Noordegraaf
Oct 26, 2007·Respiration; International Review of Thoracic Diseases·Sebastiaan HolverdaAnton Vonk-Noordegraaf
Mar 4, 2008·American Journal of Physiology. Heart and Circulatory Physiology·Ivo R HenkensHubert W Vliegen

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Citations

May 18, 2010·The International Journal of Cardiovascular Imaging·A van der LaarseE E van der Wall
Oct 12, 2014·Journal of Pharmacological and Toxicological Methods·Pradtana MeedechRobert L Hamlin
Dec 7, 2010·Clinical Nursing Research·Annette McDonoughDiane L Carroll
Apr 26, 2018·Pulmonary Circulation·Shinji SatoHiromi Matsubara
Aug 20, 2008·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·E E van der Wall

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